NPIMap

Individual provider Active NPI

Robert J Darzynkiewicz, MD

  • Emergency Medicine Physician
  • Reno, NV
National Provider Identifier
1811956063
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10764 Issued in NV
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(775) 982-4100
NPI assigned
Mar 17, 2006
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101276580 VA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 10764 NV
Emergency Medicine Physician 207P00000X 10764 NV Primary

Addresses

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

832 Willow St
Reno, NV 89502-1304

Other identifiers 2

IdentifierTypeStateIssuer
100502506MedicaidNV
CC7971OtherNVBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040413001549 NV Practitioner - Emergency Medicine 1850385683 Reassigns benefits to 1 organization
I20140529000125 CA Practitioner - Emergency Medicine 1850385683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84113CAMDPharmacist
0101276580VAMDEmergency Medicine Physician
10764NVMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Medical Group, a Professional Corp Emergency Medicine CurrentSince Mar 1, 2014 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Mar 1, 2014 Accepting new patients
Brown, Calvanese, Cameron LTD Emergency Medicine CurrentSince Jan 1, 2005 Accepting new patients
Telehealth Services South PA Current Accepting new patients
Telehealth Services South PA Emergency Medicine Current Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Telehealth Services USA Emergency Medicine Past Accepting new patients
Tahoe Forest Hospital District PastSince Dec 6, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

10775 Pioneer Trl
Ste 215
Truckee, CA 96161
Phone 4154244266 ext. 44266

2104 N Village Dr
Ste L
Truckee, CA 96161
Phone (530) 582-6594

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

832 Willow St
Reno, NV 89502
Phone (775) 324-4040

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

8300 Esters Blvd
Ste 900
Irving, TX 75063
Phone (415) 424-2666

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tahoe Forest HospitalTruckee, CA, CCN 051328 Hospital Corporate Officer Dec 6, 2024
Tahoe Forest Hospital SNFTruckee, CA, CCN 555231 Skilled nursing facility Corporate Officer Jun 17, 1971
Tahoe Forest Home Health ServicesTruckee, CA, CCN 057200 Home health agency Corporate Officer Dec 6, 2024
Tahoe Forest HospiceTruckee, CA, CCN 051732 Hospice Corporate Director Dec 6, 2024
Tahoe Forest Multispecialty Clinics-Im/CardTruckee, CA, CCN 058713 Rural health clinic Corporate Director Dec 6, 2024
Tahoe Forest Multispecialty Clinic-Incline VillageIncline Village, NV, CCN 293992 Rural health clinic Corporate Director Dec 6, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1811956063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 WILLOW ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARZYNKIEWICZ",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101276580",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NV",
            "license": "10764",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "10764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502506",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "CC7971",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.